Burns' Pediatric Primary Care
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 6-year-old child is brought to a pediatric primary care clinic for a
scheduled health supervision visit. The child has no acute complaints.
Which activity best represents the broad purpose of pediatric primary
care?
A. Treating only illnesses that are currently causing symptoms
B. Providing continuous care that includes prevention, health
promotion, assessment, and management of illness
C. Referring all children with chronic conditions directly to subspecialists
D. Limiting care to immunizations and annual physical examinations
Correct Answer: B. Providing continuous care that includes
prevention, health promotion, assessment, and management of
illness
Rationale:
Pediatric primary care extends beyond treatment of acute illness. It
includes health supervision, anticipatory guidance, age-appropriate
screening, monitoring of growth and development, diagnosis and
management of acute and chronic conditions, and coordination of
services when needed. This broad, continuous approach is central to
comprehensive pediatric primary care.
Why the Other Options Are Incorrect:
A. This describes an episodic, illness-focused model and excludes
prevention and health supervision.
C. Subspecialty referral is appropriate for selected complex problems,
, but primary care remains responsible for comprehensive and
coordinated care.
D. Immunizations and physical examinations are important components
of primary care but do not encompass its full scope.
Question 2
Question:
A pediatric nurse practitioner discusses the difference between primary
care and primary prevention with a group of nursing students. Which
statement by a student demonstrates correct understanding?
A. “Primary prevention is another term for comprehensive primary
care.”
B. “Primary care focuses only on preventing disease before it occurs.”
C. “Primary prevention is a component of health promotion that aims to
prevent disease or injury before it develops.”
D. “Primary care begins only after a child develops a health problem.”
Correct Answer: C. “Primary prevention is a component of health
promotion that aims to prevent disease or injury before it develops.”
Rationale:
Primary prevention is directed at preventing illness, injury, or other
adverse outcomes before they occur. Examples in pediatric practice
include immunization, injury-prevention counseling, healthy lifestyle
counseling, and anticipatory guidance. Primary care is broader and
includes preventive services as well as diagnosis and treatment.
Why the Other Options Are Incorrect:
A. Primary prevention is narrower than primary care and does not
8th Edition
• Author(s)Dawn Lee Garzon, Mary Dirks,
Martha Driessnack, Karen G. Duderstadt,
Nan M. Gaylord
TEST BANK
,
,Question 1
Question:
A 6-year-old child is brought to a pediatric primary care clinic for a
scheduled health supervision visit. The child has no acute complaints.
Which activity best represents the broad purpose of pediatric primary
care?
A. Treating only illnesses that are currently causing symptoms
B. Providing continuous care that includes prevention, health
promotion, assessment, and management of illness
C. Referring all children with chronic conditions directly to subspecialists
D. Limiting care to immunizations and annual physical examinations
Correct Answer: B. Providing continuous care that includes
prevention, health promotion, assessment, and management of
illness
Rationale:
Pediatric primary care extends beyond treatment of acute illness. It
includes health supervision, anticipatory guidance, age-appropriate
screening, monitoring of growth and development, diagnosis and
management of acute and chronic conditions, and coordination of
services when needed. This broad, continuous approach is central to
comprehensive pediatric primary care.
Why the Other Options Are Incorrect:
A. This describes an episodic, illness-focused model and excludes
prevention and health supervision.
C. Subspecialty referral is appropriate for selected complex problems,
, but primary care remains responsible for comprehensive and
coordinated care.
D. Immunizations and physical examinations are important components
of primary care but do not encompass its full scope.
Question 2
Question:
A pediatric nurse practitioner discusses the difference between primary
care and primary prevention with a group of nursing students. Which
statement by a student demonstrates correct understanding?
A. “Primary prevention is another term for comprehensive primary
care.”
B. “Primary care focuses only on preventing disease before it occurs.”
C. “Primary prevention is a component of health promotion that aims to
prevent disease or injury before it develops.”
D. “Primary care begins only after a child develops a health problem.”
Correct Answer: C. “Primary prevention is a component of health
promotion that aims to prevent disease or injury before it develops.”
Rationale:
Primary prevention is directed at preventing illness, injury, or other
adverse outcomes before they occur. Examples in pediatric practice
include immunization, injury-prevention counseling, healthy lifestyle
counseling, and anticipatory guidance. Primary care is broader and
includes preventive services as well as diagnosis and treatment.
Why the Other Options Are Incorrect:
A. Primary prevention is narrower than primary care and does not
